Health care providers who practice in Illinois, Iowa and Wisconsin may refer to the “Midwest” references in the following grid. Health care providers who practice in Arkansas, Georgia, Tennessee and Virginia may refer to the “Southeast” references in the following grid.
| Resource | Where to go |
|---|---|
| UnitedHealthcare Provider Website | uhcprovider.com |
| Cardiology Diagnostic catheterization Electrophysiology implants Echocardiogram Stress echocardiogram |
Online: uhcprovider.com/paan Information: uhcprovider.com/cardiology Phone: 1-866-889-8054 |
| Case Management/UM Initiate case management and UM |
Congenital Heart Disease: Number on the back of the member’s ID card. Kidney Resource Services: Number on the back of the member’s ID card. Transplant Resource Services Fax: 1-855-250-8157 Ventricular Assist Devices: Phone: 1-888-936-7246, option 2 |
| Claims (Information and submissions) |
EDI: Medical claims Payer ID: 87726 Dental claims Payer ID: 95378 Online: UnitedHealthcare Provider Portal at uhcprovider.com > Sign In Information: uhcprovider.com/claims (policies, instructions and tips) Phone: 1-866-509-1593 Mail paper claims to: UnitedHealthcare P.O. Box 740800 Atlanta GA 30374-0800 |
| Claim Reconsiderations and Appeals | Online: uhcprovider.com/claims > Submit a Corrected Claim, Claim Reconsideration / Begin Appeal Process Refer to the Claim reconsideration and appeals process in Chapter 10: Our claims process for more information, or: Mail to: |
| Disease Management | Phone: 1-800-369-2704, option 4 (Monday–Friday, 8 a.m. – 4:30 p.m., CT) Fax: 1-866-950-7759, Attn: CMT Coordinator Email: MailWebCDM@uhc.com |
| Electronic Data Interchange (EDI) EDI Support |
Online: uhcprovider.com/edi Help: uhcprovider.com > Menu > Contact Us > Technical Assistance Phone: 1-800-842-1109 (Monday–Friday, 7 a.m. – 9 p.m. CT) |
| Eligibility (Member) | EDI: Transactions 270 (Inquiry) and 271 (Response) through your vendor or clearinghouse Online: UnitedHealthcare Provider Portal at uhcprovider.com > Sign In Information: uhcprovider.com/eligibility |
| Eligibility for: End-of-life care Home health care Infusion services (prior authorizations) |
Online: uhcprovider.com/paan Phone: 1-877-842-3210 Mail: UnitedHealthcare Attn: Clinical Coverage Review 1300 River Drive Moline, IL 61265 |
| Inpatient Admissions (notifications) | EDI: Transactions 278N Online: uhcprovider.com/paan Phone: 1-877-842-3210 |
| Mental Health/Substance Use Vision Transplant Services |
Phone: 1-877-842-3210 |
| Optum Pay | Online: uhcprovider.com/optumpay optum.com/optumpay Optum Pay in the UnitedHealthcare Provider Portal Help Desk: 1-877-620-6194 |
| Pharmacy Services/Prescription Drugs Requiring Preauthorization | Online: uhcprovider.com/pharmacy or professionals.optumrx.com |
| Prior Authorization Including preauthorization for certain DME. See Cardiology, Radiology, Inpatient Admissions, and End-of-Life, for specific contact information |
EDI: See EDI transactions and code sets on uhcprovider.com/edi. We accept EDI 278 submissions directly to UnitedHealthcare or through a clearinghouse. Online: uhcprovider.com/paan Phone: (Inpatient requests only) 1-877-842-3210, option 3, or the number on the back of the member’s ID card Information: uhcprovider.com/priorauth (policies, instructions and tips) |
| Appeals (Urgent) | Fax: 1-801-994-1058 (urgent appeals only) |
| Radiology/Advanced Outpatient Imaging Procedures: Certain CT scans, MRIs, MRAs, PET scans and nuclear medicine studies, including nuclear cardiology |
Online: uhcprovider.com/paan Information: uhcprovider.com/radiology Phone: 1-866-889-8054 |
| Skilled/Extended Care | Online: uhcprovider.com/paan Phone: 1-877-842-3210 |
| TIN/Provider ID Numbers | Phone: 1-866-509-1593 or email RVITEDISolutions@uhc.com |
| United Voice Portal (Provider Services) | Phone: 1-877-842-3210 |
Use the UnitedHealthcare Provider Portal at uhcprovider.com to perform secure transactions, check member eligibility and benefits, and manage claims and prior authorization requests.